Look up the most recent NPI and PECOS records

Maureen Lauren Clancy

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6200 Sunset Dr, Suite 304, South Miami, FL 33143-4828

PECOS Enrollment

This provider is enrolled in PECOS as MAUREEN CLANCY.

Based on the most recent information from CMS, provider Maureen Lauren Clancy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1033192323
Provider Type
Individual
Full Name
Clancy, Maureen Lauren
Title
Ms.
Credential
ARNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/21/2005
Last Updated
8/26/2010

Contact Information

Practice Location

6200 Sunset Dr, Suite 304, South Miami, FL 33143-4828

(305) 662-1550

(305) 662-5930

Mailing Location

3034 NE Quayside Ln, Miami Shores, FL 33138-2258

(305) 389-9487

(786) 662-5314

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 2566322 Florida

Maureen Lauren Clancy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

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